EP2552294A1 - Oral accessibility device - Google Patents
Oral accessibility deviceInfo
- Publication number
- EP2552294A1 EP2552294A1 EP11717339A EP11717339A EP2552294A1 EP 2552294 A1 EP2552294 A1 EP 2552294A1 EP 11717339 A EP11717339 A EP 11717339A EP 11717339 A EP11717339 A EP 11717339A EP 2552294 A1 EP2552294 A1 EP 2552294A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- blade
- handle
- dental arches
- oral
- patient
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/24—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C5/00—Filling or capping teeth
- A61C5/90—Oral protectors for use during treatment, e.g. lip or mouth protectors
Definitions
- the present invention is in the field of devices used in particular during an oral examination, to facilitate the accessibility of the oral cavity to the practitioner or his assistant.
- It relates more particularly to an oral accessibility device having features similar to those of openers or the like already known, but particularly suitable for people with behavioral disabilities.
- the known mouth openers are essentially intended to facilitate access to the oral cavity by keeping the patient's mouth sufficiently open.
- the wedges in the form of blocks for example of rubber, are devices for keeping the mouth in the open position, placed between the dental arches after the patient's mouth has been sufficiently open. These devices make it possible to maintain the spacing of the dental arches, without the patient needing to maintain a mouth opening force that can last for a relatively long time, and incidentally also allow to maintain the tongue or are combined with suction means .
- These devices can generally be placed in the closed mouth and used to spread the dental arches by exerting a stretching force to the patient, and then to maintain the opening of the mouth. They may have the advantage of greater possibility of adjusting the spacing, or positioning in the mouth. These devices are intended to be set up under anesthesia, when the patient can not open his mouth voluntarily. In other cases, they can be traumatic because they are made of metal and likely to cause dental fractures if the patient comes to want to strongly tighten the dental arches.
- the devices of the mouth-type can not be put in place if the mouth is not opened beforehand, and moreover, being passive devices maintained solely by the clamping force between the dental arches, they risk do not remain in place if the patient spreads himself the dental arches in an uncontrolled manner after a bucket-mouth is put in place, including a risk of swallowing the hold mouth.
- these chocks have generally no means of maintenance or manipulation and the practitioner therefore has little opportunity to adjust their positioning if the patient does not cooperate by opening the mouth enough.
- the present invention aims to solve the problems mentioned above, and aims in particular, for people with a behavioral deficiency, to facilitate access to the interior of the oral cavity and then ensure the maintenance in the open position during the oral exam, to facilitate the oral exam and to improve the efficiency and quality of the examination and the care that may be required.
- the invention relates to a new device for oral accessibility, to separate the dental arches and maintain them in separated position, characterized in that it consists of a spatula comprising
- a flat, elongate rigid blade-shaped portion having an end adapted to facilitate insertion between the dental arches of a patient, and a width corresponding to a desired spacing between the dental arches of a patient, and
- a handle rigidly connected to one end of the blade and shaped so as to rotate the blade along a longitudinal axis by a manual pivoting of the handle.
- the device according to the invention allows the practitioner or an assistant to use it as an active tool to remove the dental arches of a patient, after inserting the blade flat between the dental arches, by exerting a rotational movement on the handle to rotate the blade and thus remove the dental arches as needed, until position substantially perpendicular.
- the blade can then be held in this position by the clamping exerted by the dental arches, without the need to maintain a great rotational force.
- the interest and originality of use of the device according to the invention reside in the possibility of lifting the protective barrier closing the mouth by an oral introduction facilitated and efficient. This should allow access to the inside of the oral cavity and then keep it open during oral examination.
- This device is more suitable than a conventional intraoral port more difficult to put in place and maintain between the dental arches during the examination.
- a blade of relatively small thickness typically of the order of a few millimeters, for example between 3 and 7 mm, and preferably about 5 mm, to allow easy insertion. of the blade between the dental arches even when the patient does not want to open the mouth.
- the known devices are rather static devices that maintain the dental arches apart, but must be removed, moved or disordered if it is necessary during the oral examination to change the spacing of the dental arches or change the conditions of access to the oral cavity.
- such systems have a rigidity of use that may be incompatible with the patient's behavior and traumatic.
- the device according to the invention in addition to allowing the practitioner to remove the dental arches with a sensitivity adapted to the behavior of the patient, can also then be easily manipulated always according to the patient's reactions and the needs of the patient. practitioner with a much greater responsiveness. This is therefore an active device, on the positioning of which the practitioner or assistant can manually intervene very quickly, compared to the passive nature of the devices according to the prior art.
- the blade has a rounded end, facilitating its insertion between the dental arches, avoiding the risk of injury.
- the edges of the blade are also rounded, which also facilitates sliding against the teeth or gums during pivoting of the blade, and avoids the risk of injury to the mucous membranes, or when the manipulation of the spatula can bring the blade into contact with these walls.
- the flat portion of the blade typically has an overall length of 60 to 100 mm, for example 80 mm, sufficient to penetrate the oral cavity, and without causing excessive space.
- the blade can also be used as a lowered tongue.
- the blade has a width decreasing from its end carrying the handle towards its rounded end. This variation in width along the blade, for example from 25 to 35 mm, thus makes it possible to adapt the desired spacing as a function of the depth of insertion of the blade into the mouth.
- the blade has on its edges notches distributed along its length. These notches, for example three in number on each side of the blade, allow a wedging of the blade between the maxillary and mandibular teeth, to prevent slipping of the blade.
- the handle extends substantially parallel to the longitudinal direction of the blade and is offset with respect to the mean plane of said blade.
- This offset which may be of the order of 15 to 30 mm, for example 25 mm, makes it possible to increase the pivoting torque exerted on the blade, and therefore the force of separation of the dental arches, when the user rotate the handle.
- it also allows, in certain positions of the blade, to ensure a spacing of the handle relative to the cheeks and thus to facilitate handling.
- the handle has an elongate shape, for example 80 mm long, and has a rounded or oval section, to ensure the best torque and efforts on the blade. It may also include a non-slip surface.
- the length In particular, the spatula must make it possible to ensure a leverage effect to exert a force greater than the muscular strength of the mouth closure.
- the thickness of the blade will be sufficiently reduced to facilitate insertion between the dental arches closed mouth. Conversely, this thickness must be sufficient to resist torsion, without annoying deformation during use. It depends on the material used and also on the length of the blade. A thickness of about 5 m was found to be correct for a blade about 125 mm long, made entirely of a plastic material such as polyethylene, to obtain a smooth surface easy to clean.
- the blade can also be made of another resistant material, for example metal, coated with plastic or rubber.
- the spatula may be made in one piece, handle and blade, molded plastic material. It is possible to use a thermoplastic resin, of polyethylene type for food, polypropylene, etc. The chosen material must provide good mechanical resistance in bending and torsion, resistance to shocks, wear and nicks and scratches likely to be caused by the teeth of the patient or other tools of the practitioner. It must also resist without deformation at high sterilization temperatures, typically 134 ° C for 18 minutes at a pressure of 5 bar.
- FIG. 1 is a perspective view of the spatula
- FIG. 2 is a side view
- FIG. 3 is a view from above
- FIGS 4 to 6 illustrate examples of use of the spatula.
- the spatula comprises a blade 1 and a handle 2, offset relative to each other and connected by an inclined portion 3.
- the flat portion 11 of the blade has for example a length of 80 mm, its end 12 having a semicircular shape, radius 12.5 mm for example.
- the width of the blade varies from about 25 mm near its rounded end 12 to 35 mm near the inclined portion 3 of connection to the handle.
- the edges 13 of the blade are rounded around its entire periphery, and distributed notches 14 are formed on the opposite edges of the blade.
- the thickness of the blade is typically 5 mm.
- the handle has a length of about 80 mm and a section of oval or elliptical shape, 26 mm wide and 18 mm thick for example.
- the spatula is made in one piece by molding, polyethylene.
- the blade 1 allows its shape to be inserted into the oral cavity between the dental arches 20 practically in contact or barely spaced, as shown in FIG. 4. Due to its small thickness, the flat portion 11 of the blade 1 can be inserted between the teeth in its longitudinal direction, according to the arrow F of Figure 4, or possibly laterally. The rounded shape of the end 12, and the rounded edges of the blade allow this insertion without risk of injuring the teeth or the oral cavity. A movement of rotation of the handle 2, according to the arrow Fl, then allows to exert sufficient force to allow the mouth opening, in position as shown in FIG. notches 14 can wedge the maxillary and mandibular teeth and thus create a wedging of the arches during the oral examination, symbolized by the use of the mirror 21 shown in Figure 6.
- the blade can be more or less advanced in the oral cavity for, thanks to the variable width of the blade, adjust the distance of the dental arches as needed.
- An adaptation of the spacing may also be obtained by a pivoting of the spatula on itself, the user can also maintain it at the blade, as shown in Figure 6, for greater positioning accuracy.
- the spatula according to the invention is particularly intended for performing oral examinations of people with behavioral disabilities, for oral health professionals. Dental surgeons or their assistants can thus handle the spatula during the procedure, depending on the need for spacing and accessibility to the oral cavity.
- the use of the spatula according to the invention may in particular allow, for persons with a behavioral handicap, to limit the indications of care under general anesthesia.
- the invention can also be advantageously used by parents, carers and specialized educators to maintain oral hygiene to people with behavioral deficiency.
Abstract
Description
Claims
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR1052303A FR2957774B1 (en) | 2010-03-29 | 2010-03-29 | ORAL ACCESSIBILITY DEVICE |
PCT/IB2011/051288 WO2011121513A1 (en) | 2010-03-29 | 2011-03-27 | Oral accessibility device |
Publications (3)
Publication Number | Publication Date |
---|---|
EP2552294A1 true EP2552294A1 (en) | 2013-02-06 |
EP2552294B1 EP2552294B1 (en) | 2018-02-14 |
EP2552294B8 EP2552294B8 (en) | 2018-03-28 |
Family
ID=42752388
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP11717339.3A Active EP2552294B8 (en) | 2010-03-29 | 2011-03-27 | Oral accessibility device |
Country Status (7)
Country | Link |
---|---|
EP (1) | EP2552294B8 (en) |
DK (1) | DK2552294T3 (en) |
ES (1) | ES2667344T3 (en) |
FR (1) | FR2957774B1 (en) |
NO (1) | NO2552294T3 (en) |
PT (1) | PT2552294T (en) |
WO (1) | WO2011121513A1 (en) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105286764B (en) * | 2015-10-21 | 2017-01-18 | 王世江 | Tongue depressing detection system |
JP6268504B1 (en) * | 2016-08-31 | 2018-01-31 | 株式会社デントケア | Dental opening holder |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE19808419A1 (en) * | 1998-02-28 | 1999-09-16 | Storz Karl Gmbh & Co | Transparent spatula illuminator for internal inspection of body cavities, especially nose and mouth |
CN201098154Y (en) * | 2007-11-27 | 2008-08-13 | 李容花 | Tongue depressor |
Family Cites Families (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB739546A (en) * | 1954-05-20 | 1955-11-02 | Janis Indrikis Ikse | Spatula for dental purposes |
US4053984A (en) | 1976-08-05 | 1977-10-18 | Moss Dan E | Mouth prop |
US5097820A (en) | 1989-04-25 | 1992-03-24 | Shulman David H | Articulating mouth-prop device for use in the diagnosis and/or treatment of patients suffering from trismus or other medical or dental problems or for other purposes |
US4919616A (en) * | 1989-08-25 | 1990-04-24 | Croll Theodore P | Dental spatula with display posts |
US4997368A (en) * | 1990-03-12 | 1991-03-05 | Mayer Norman M | Oral measuring device |
US6244866B1 (en) | 1999-12-29 | 2001-06-12 | Regina Campbell | Tongue suppressing bite block |
WO2003037205A2 (en) | 2001-11-01 | 2003-05-08 | Ultradent Products, Inc. | Customizable dental bite blocks and methods for forming customized dental bite blocks |
IL165301A0 (en) | 2004-11-18 | 2006-01-15 | Med Ltd | Surgical mouth gag |
GB2421678A (en) * | 2004-12-29 | 2006-07-05 | Microwise Cookware Ltd | Microwave oven spatula with grip member |
US7066735B1 (en) * | 2005-07-11 | 2006-06-27 | Gasporra Andrea R | Mouth block |
US20070287598A1 (en) | 2006-05-23 | 2007-12-13 | Christensen Robert W Iii | Jaw stretching device |
US8267861B2 (en) | 2006-08-08 | 2012-09-18 | Lowe Richard D | Disposable mouth props |
US8029280B2 (en) * | 2008-05-02 | 2011-10-04 | Brian P. Black | Intra-oral device and method |
-
2010
- 2010-03-29 FR FR1052303A patent/FR2957774B1/en not_active Expired - Fee Related
-
2011
- 2011-03-27 DK DK11717339.3T patent/DK2552294T3/en active
- 2011-03-27 EP EP11717339.3A patent/EP2552294B8/en active Active
- 2011-03-27 ES ES11717339.3T patent/ES2667344T3/en active Active
- 2011-03-27 WO PCT/IB2011/051288 patent/WO2011121513A1/en active Application Filing
- 2011-03-27 NO NO11717339A patent/NO2552294T3/no unknown
- 2011-03-27 PT PT117173393T patent/PT2552294T/en unknown
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE19808419A1 (en) * | 1998-02-28 | 1999-09-16 | Storz Karl Gmbh & Co | Transparent spatula illuminator for internal inspection of body cavities, especially nose and mouth |
CN201098154Y (en) * | 2007-11-27 | 2008-08-13 | 李容花 | Tongue depressor |
Non-Patent Citations (1)
Title |
---|
See also references of WO2011121513A1 * |
Also Published As
Publication number | Publication date |
---|---|
EP2552294B8 (en) | 2018-03-28 |
FR2957774A1 (en) | 2011-09-30 |
WO2011121513A1 (en) | 2011-10-06 |
FR2957774B1 (en) | 2013-11-08 |
ES2667344T3 (en) | 2018-05-10 |
NO2552294T3 (en) | 2018-07-14 |
DK2552294T3 (en) | 2018-05-07 |
PT2552294T (en) | 2018-05-02 |
EP2552294B1 (en) | 2018-02-14 |
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